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| PM News | |
The Voice of Podiatrists
Serving Over 22,024 Subscribers Daily
April 17, 2023 #7,476  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2023- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL RESULTS |
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Results of last week's poll |
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| PM NEWS QUICK POLL |
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How did the 1st quarter revenue of 2023 compare to the 1st quarter of 2022?
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| PODIATRISTS AND SPORTS MEDICINE | |
Compare at Least 3 Different Running Shoes Before Buying: MN Podiatrist
Ask any running coach or podiatrist, and they’ll tell you the best way to pick a cushioned running shoe is to try on a few options and decide which feels best to you. “The best evidence for how to select a shoe to minimize risk of injury or pain is to try on shoes by running in them, compare at least three different shoes, and select the one that is most comfortable to you,” says Paul Langer, DPM, a board-certified podiatrist and fellow of the American Academy of Podiatric Sports Medicine.
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Dr. Paul Langer |
Dr. Langer encourages his patients not to be too loyal to specific shoe brands when picking out a new pair of sneakers. “There are an overwhelming number of choices out there, and limiting people to one brand or specific models robs them of the opportunity to prioritize their own comfort,” he says. “On top of that, no brand has proven to be superior to others in terms of comfort or injury reduction.”
Source: Christie Calucchia, Prevention [4/13/23]
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| INTERNATIONAL PODIATRIC STUDENTS IN THE NEWS | |
UK Podiatry Student Switches from Hospitality to Healthcare
It will soon be last orders for one local pub owner as she prepares to move from hospitality to healing heels. Since 2016, Claire Eyles has co-run The Wheatsheaf in Braunston with husband Chris after many years working in the hospitality sector. Now, Claire is jumping professional ships to a radically different discipline – podiatry, which covers healthcare related to the lower limbs.
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Claire Eyles |
“I wanted to work in healthcare, so I researched the courses at my local university to see what they offered. My daughter Pippa is a budding gymnast and she had been treated by a podiatrist, so everything was pointing me towards that profession. You don’t realize the diversity there is even in one podiatric specialty. There’s so much there." Claire, now in the second year of her degree, is also a trailblazer for podiatry at University of Northampton; in the summer, she will be the first student to start a new placement opportunity in a prison.
Source: Jason Day, Northhampton Chronicle & Echo [4/14/23]
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| PODIATRIST AND THE LAW | |
TX Podiatrist Convicted for $8.5M Compounding Fraud Scheme
A federal jury convicted two Texas men today for their role in a scheme to fraudulently bill TRICARE – the healthcare program for U.S. service members and their families – for compounded creams that were medically unnecessary and procured through kickbacks and bribes. According to court documents and evidence presented at trial, Brian Carpenter was a podiatrist who signed prescriptions for compounded pain and scar creams for TRICARE beneficiaries to whom he never spoke and whom he never examined or treated. Jerry Lee Hawrylak, a pharmacist, recruited Carpenter to sign the prescriptions and recruited TRICARE beneficiaries to accept the medically unnecessary creams.
Source: United States Department of Justice [4/14/23]
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| RELEVANT RESEARCH | |
VA Surveillance & Contact Precautions Reduced MRSA Infections during Covid
During the COVID-19 pandemic, Veterans Affairs facilities that practiced active surveillance and contact precautions reported fewer healthcare-associated MRSA infections, especially in ICUs. Brian McCauley, DPM, MHSA, the national Veterans Affairs multidrug-resistant organisms program manager, discussed the VA’s MRSA prevention initiative, which was created in 2007 to reduce healthcare-associated MRSA infections across all 130 acute-care VA facilities as well as long-term care facilities. Additionally, the VA suspended several precautions like active surveillance screening to conserve PPE resources for COVID-19 testing in facilities. McCauley assessed the effects of suspending active surveillance and contact precautions for patients colonized or infected with MRSA in a prospective cohort study from July 2020 to June 2022 at 123 acute-care VA medical facilities.
Dr. McCauley said that even after accounting for monthly COVID-19 admissions, the relationship between facility policy and MRSA HAI rates in ICUs or non-ICUs did not change, adding that “MRSA HAI rates increased as the number of interventions decreased”. Therefore, it is suggested that the impact of these precautions is greater in ICUs compared with non-ICUs and the differences in rates between ICUs and non-ICUs may be a point for policy decisions.
Source: World Today News [4/12/23]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Student Loan Concepts to Know During Tax Season
With tax season approaching, many people are focused on gathering all the tax forms to make sure they don’t miss the April deadline; however, few will pause to inquire how their tax filing could impact their student loan payment. Fortunately, there are many ways that borrowers can get creative with income reporting come tax season that could impact their student loan payments substantially.
11A. How could filing an extension help you save money? - If you are playing the game right, we typically like to see our clients reporting based off their income from 2 years in arrears. This typically can be a lucrative approach going through a major income change as you can effectively delay the impact of that income change for a couple of years. Since you must report off your most recently completed tax return though, there are some instances that filing a tax extension could be beneficial for you. As an example, if you file an extension on your 2022 taxes and don’t file them until October 2023, if we go to report your income to the Department of Education in September of 2023, your most recently completed tax return would still be from the year 2021 (hence the two years and arrears).
Since this is your most recently completed tax return and it is within 2 years, this would allow you to make payments based off that 2021 income for 12 subsequent months after you report that income. This means that you could be making payments based off your 2021 income all the way through September of 2024. With the recent COVID extensions, you may no longer need to file extensions but depending on your situation, it could be substantially beneficial.
Source: Michael Foley, CFP, CSLP, Hannah Flodin, CSLP Medical Economics [3/26/23]
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Itamar Rosenbaum, CPed
1. Cut 1/4” foam roll with adhesive backing into a 1.5”x 1 3/4” rectangle. Cut the edge of the longer side at a 45 degree angle. Peel back the paper backing and roll it from the unbeveled area towards the beveled edge. Take 1/2” tubular gauze and place the roll inside. Take the roll that is now inside the gauze and put it in your hand under the middle three fingers in the sulcus area and let the loose ends of the gauze hang from both sides. Bring the two loose ends together to meet on the back of your middle finger and pinch them together. Slide this off your hand while holding the area you pinched and cut the ends just under the pinched area in the gauze. Take a kidney-shaped mole skin and put the two ends head-to-head on the sticky side of the mole skin and fold over the mole skin, trapping the ends of the gauze. Place over the middle three toes of the patient with the crest placed in the sulcus area.
2. Punch a hole in the patient's shoe insole underneath the tip of that toe and plug with PPT.
3. Make an accommodative triple density custom orthotic and make sure the lab does not remove the impression in the forefoot and toe areas so that the device will have the exact contours of the sulcus and toes. Then have them punch a hole below that toe tip and fill it with PPT before covering with a Plastazote top cover.
Itamar Rosenbaum, CPed, Brooklyn, NY
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| SPONSES/COMMENTS (DME) | |
RE: These DME Updates Go Into Effect Immediately
From: Paul Kesselman, DPM
Medicare has made several changes which are imminent when it comes to DME. For both sets of codes below, you will need to have a documented face-to-face examination of the patient which stipulates the patient's needs for these specific devices. This should not be problematic for patients we are treating with these DMEPOS.
1) The vendor who provides your patients with osteogenesis stimulators must have a complete Written Order Prior to Delivery (WPOD) to the patient. That is, the order must be signed and dated and in their system prior to the date of the patient's signature on their delivery ticket. Otherwise, the vendor providing them with the bone stimulator will not be paid. Be on the lookout for more scrupulous documentation requirements from every bone stimulator company you work with, and be understanding of their needs.
2) Podiatrists who are providing their own patients with AFO devices, a WPOD prior to delivery for certain AFOs (L1940 L1951, L1970) must also have documentation in the chart which satisfies the WOPD requirements. At a minimum, this includes a generic description of the item, date of need, number of items (usually one), patient information, your name (please make it legible), and your NPI.
For these custom orders, your laboratory order along with the other information noted should suffice, along with the medical chart documentation supporting medical necessity. The note and laboratory order must be dated prior to the date of delivery. Written Proof of Delivery requirements remain unchanged.
Paul Kesselman, DPM, Oceanside, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Shoe Crease Protectors
From: Kevin A. Kirby, DPM
In the interest of keeping podiatrists informed of new shoe trends, and their potential negative biomechanical implications, it has recently come to my attention that a relatively new shoe product is being marketed and widely used by many younger individuals in their expensive sneakers (think Air Jordan). This widely-used shoe product is called a “crease protector” and may be made of either a plastic sleeve that fits inside the forefoot region of the shoe, or may even be a foam piece placed on the dorsal aspect of the forefoot in order to prevent a dorsal “crease” developing over time in the vamp of the shoe. Those of you who have children who are pre-teens or teenagers, probably already have encountered these products.
I first learned about this product last night from my 12 year-old granddaughter. I was very proud that she could demonstrate the various odd gait patterns that her pre-teen and teenage friends demonstrate when wearing these “crease protectors” in their shoes which prevent them from undergoing normal propulsive gait mechanics. She said that these are widely used in her middle school by many of her friends and she assumes that they are also popular in high schoolers who also want to keep their expensive, leather-uppered shoes looking “new”.
Even though I have not yet seen any issues from wearing these plastic devices inside shoes which restrict normal metatarsophalangeal joint dorsiflexion during gait, it may be a factor which we may want to consider if unusual symptoms are occurring in younger individuals who have no other biomechanical explanation. And, unfortunately, this is **not** an April fool’s joke.
Kevin A. Kirby, DPM, Sacramento, CA
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| RESPONSES/COMMENTS (MEDICAL INSURANCE NEWS) | |
From: Paul Kesselman, DPM
A recent qui tam whistleblower case from a former Cigna medical director alleges that Cigna medical directors and their subordinates routinely and en mass denied claim appeals (upwards of 50-60) per minute without ever even opening up the files. A few weeks ago UHC announced they would only accept claim appeals via their portal (AKA electronically). Does anyone here smell a rat? Is anyone here surprised?
I'd suggest that the Federal gov't require all insurance companies to be required to have routine unannounced forensic examination of their software so it can be determined how long a file is open by the auditor, CMD, etc. and how long it takes to write a report etc. for any claim sent to appeal. Furthermore, those forensics must be available to the OIG on a routine basis! The penalties for not following acceptable protocols need to be commensurate with the crime and not a slap on the wrist!
Paul Kesselman, DPM, Oceanside, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Source: What a modern day knight wears? |
Source: gizmag.com via Dr. Kevin Kirby
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MEETINGS & WEBINARS
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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE INCREASE REVENUE AND SAVE THOUSANDS
20/20 Dicom X-ray Unit New modem upgrade 2023. - 14K, Sonimage HSI Ultrasound New 2021 (under warranty)- 19K - PadNet Vascular machine New 2021 (under warranty)- 14K, Hyperblue 1500 Laser for fungal nails - 5k. Contact nplants2008@gmail.com.
ACTIVE PRACTICE FOR SALE - TARZANA CALIFORNIA
Serious inquires only great location across from major hospital three treatment rooms and all equipment free parking great staff. Perfect for one or two doctors text 818-451-8441 Email drpatriciawalters@gmail.com
PRACTICE FOR SALE – MINNEAPOLIS, MN
Suburban Minneapolis. Busy 41 year old practice with large population draw, grossing 500K. Everything needed to produce immediate income. Golden opportunity with amazing potential. Wonderful place to live & to practice the way you’ve always wanted to. Will stay for transition, financing available. Contact: www.wwfoot.com
ACTIVE PRACTICE FOR SALE IN UPPER MANHATTAN NYC
30 years old practice. Strong patient base. Three treatment rooms with a digital X-ray machine with EMR. Perfect for new practitioners or DPM waiting to expand practice. Asking for 100k Please respond to Email: Michael.dave1957@gmail.com
PRACTICE FOR SALE - SOUTHERN NJ
Doctor retiring after 51 years. 2 office locations in Burlington County. Office equipment available. Hospital privileges available. Contact harris.klear@gmail.com
PRACTICE FOR SALE - PLYMOUTH, MA
Located in a medical building with optimum visibility and referrals. Opportunity for a solo practitioner or established group to enhance income via added hours and surgery with hospital privileges available. 3-4 exam rooms. Turn-key. Retiring. Will stay for transition. Email dpmassist@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS |
ASSOCIATE POSITION – EASTERN VIRGINIA
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an associate doctor to join our team in Eastern, Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - BECKLEY, WEST VIRGINIA
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an experienced Associate Doctor that has a specialty in surgery and rear foot to join our team in Beckley, West Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITIONS - 4 CORNERS AREA
Associate position as part of a rapidly growing practice providing care in four corners area. Position including hospital rounding, clinic and SNF providing wound care and limb salvage. Comes with a $120K base + bonus with full benefits including CME allowance, Health, Dental, Vision, 401k plan. Email resume to kim@innovationmedgroup.com
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Work where you want to live. Supportive environment, Sunny SWFL, build your surgical boards cases quickly, busy, modern, technologically advanced offices. ABFAS BC/BQ a must, EMR, CT, DME, Base salary + bonus, PTO, 401K, health ins. 1 ACFAS fellowship position also DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION - ALBUQUERQUE, NM
Busy, growing, 2 location, podiatry group in Albuquerque, NM seeking full-time associate. Must be ABFAS BQ/BE.? Competitive salary and full benefit package.? Qualified applicants will join a value-based, protocol driven state of the art practice addressing all aspects of podiatric care to include limb salvage, sports medicine, trauma and reconstructive foot and ankle surgery and hospital call. If interested please send CV and cover letter to nmfaidoc@gmail.com
ASSOCIATE POSITION – VIRGINIA
Growing podiatry practice is seeking a high energy associate interested in providing care to multi senior living facilities as well as working into a partnership to own the practice in 2 to 4 years. The office is located in Annandale, Virginia. Great opportunity to add a surgical aspect to the practice as surgery is currently referred out. Compensation is personal productivity commission based. Please respond to: DrBreiner@AOL.com
ASSOCIATE POSITION – RIVERTON, UTAH
Immediate Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: Riverton, Utah. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email Cover Letter and CV to vanessa.deleon@summitmedicalpartners.com
ASSOCIATE POSITION - ILLINOIS MULTIPLE LOCATIONS
Are you seeking the opportunity to join one of the largest, fastest growing podiatry practices in Illinois? 15 Offices around the Chicagoland area. Full time & part time positions are available. Strong clinical skills required. Surgical and non-surgical positions available now and next summer. Competitive commission, full benefit package, PTO, holidays, health/dental/life/disability, malpractice coverage & 401(k) w/match. Email CV to drmceneaney@illinoisfoot.com
ASSOCIATE POSITION FOR FELLOWSHIP TRAINED - SUBURBS OF NYC
Live and work in great community. Successful and supportive practice. Only 30 minutes from NYC. Highly desirable area. High volume surgery to build cases for surgical boards quickly - elective, trauma, diabetic limb salvage. Busy, modern, technologically advanced offices. ABFAS BQ/BC required. Competitive Salary + Bonus, PTO, Paid Vacations, Retirement Plan with Employer Matching, All Professional Fees Paid, Generous Signing Bonus, Mentorship Program included. Income: $275,000 - $350,000. Send CV to: linchpindpm@yahoo.com
ASSOCIATE POSITION (PART-TIME) - MANHATTAN
Podiatrist wanted part-time for Manhattan practice several days a week. Great for graduating surgical residents or seasoned DPM. Foot Group. (212) 645-3462.
ASSOCIATE POSITIONS - FLORIDA, SOUTH CAROLINA, AND GEORGIA
KG Health Partners is seeking full-time and part-time podiatrists to provide mobile lower extremity care to long-term care residents in Florida, Georgia, and South Carolina. Monday through Friday schedule, competitive wages, malpractice insurance, and benefits for full-time employees. Email CV to Kgadmin@kghealthpartners.com
ASSOCIATE POSITION – MARYLAND
Immediate associate position to join our team. An expanding, dynamic podiatry practice with lots of room to grow. Limb salvage, deformity, trauma & clinic. Multiple hospitals to take call, hospital call required. Maryland license preferred, BQ required. Full benefit package available. Please email CV to footanklerecon@gmail.com
ASSOCIATE PODIATRIC SURGEON POSITION AVAILABLE - BROOKLYN, NY
Great opportunity for a recent graduate to join a rapidly growing team. ABFAS board QUALIFIED/ CERTIFIED; RRA preferred. Looking for a self-motivated, positive individual willing to work hard. Competitive benefits package. Please send resume to: simonfootandankle@gmail.com
ASSOCIATE POSITION – CHICAGO
Join our dynamic Chicago Downtown Podiatry Clinic as a BE/BC associate, practicing all facets of podiatric medicine. We seek a DPM licensed in IL, with exceptional diagnostic skills and bedside manner. Our clinic fosters long-term growth and job satisfaction. Embrace this unique opportunity, email your resume to altotalaris@gmail.com
ASSOCIATE POSITIONS - GREATER CHICAGO AREA AND NW INDIANA
Podiatry positions are open in the Greater Chicago Area and NW Indiana. We serve Homebound chronically ill and underserved patients. Receive all of the support you need to successfully practice in the community. FT and PT are available. State license required. Contact us at amorsy@md-athome.com or by phone 612-963-1114. www.md-athome.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
IMMEDIATE ASSOCIATE POSITION – IOWA CITY AREA
Seeking personable associate to join our long-established practice. Hospital and ASC based surgery. We strive to provide high quality care with compassionate service and are looking for a team player with the right attitude and personality to match. Recent grads or experienced practitioners welcome to apply. Replacing a full-time associate relocating. Immediately stepping into a busy schedule with room for growth. Competitive salary and benefits. Please send cover letter and CV to: contactus@341foot.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
ASSOCIATE POSITION – WESTERN PA/NY
Well established practice with offices in Western NY and Northwest PA seeks podiatrist for full time position. Immediate position available. Must have or be willing to obtain NY and PA license. Competitive base salary plus bonus , 401K, medical, CME. Send CV to jhs.podiatry@gmail.com
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2023. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact or jtfootcare@gmail.com. EOE employer
LIMB SALVAGE FELLOW POSITION – LOS ANGELES
Part of a busy rapidly growing practice providing care in Los Angeles. Position includes multiple settings for learning including tertiary and community hospitals, private clinic with in-house surgery center and skilled nursing facilities. Training also includes practice management along with coding training and hyperbarics training and certification. Position comes with a competitive salary with full benefits including CME allowance, health, dental, vision coverage as well as matching 401k plan. Email resume to info@woundinstitute.com
CPME/GME APPROVED 1 YEAR PODIATRY MULTIDISCIPLINARY FELLOWSHIP IN WOUND CARE AND HBOT
Huntington Hospital at Northwell Health, NY. Two positions available leading to certification in Wound Care and HBOT. Research projects and clinical trials available for possible publication. Generous salary and benefits. Please contact eardito@northwell.edu for more information.
DIABETIC LIMB SALVAGE & WOUND CARE FELLOWSHIP 2023/2024—MICHIGAN
Beaumont Hospital 12-month diabetic limb-salvage, wound care and reconstructive fellowship. The fellowship will enhance and refine the skills of residency-trained podiatric surgeons. Heavy focus on diabetic limb-salvage surgery, wound care, research, and elective surgery. Fellowship begins July 1st, 2024 Please email your CV to randy.semma@corewellhealth.org
PM NEWS CLASSIFIED ADS REACH OVER 22,000 DPMs AND STUDENTS\
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| Disclaimers |
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management® Magazine and Podiatry Management® Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
intended recipient, you are hereby notified that any dissemination,
distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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